Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.03 / $173.98 / $11,093.00	Facility		$127.03	$173.98	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.61 / $142.43 / $173.98	Professional		$112.61	$142.43	$173.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.00 / $5,948.00 / $9,462.00	Facility		$2,754.00	$5,948.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.87 / $147.34 / $220.71	Professional		$117.87	$147.34	$220.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.12 / $150.54 / $195.97	Facility		$118.12	$150.54	$195.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $162.66 / $212.18	Professional		$141.44	$162.66	$212.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,243.79 / $2,243.79 / $2,243.79	Facility		$2,243.79	$2,243.79	$2,243.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.46 / $154.57 / $270.00	Professional		$120.46	$154.57	$270.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.97 / $169.63 / $274.01	Professional		$119.97	$169.63	$274.01